Provider Demographics
NPI:1447761051
Name:MORRIS, LADONNA LOIS
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:LOIS
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 ELAINE AVE
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-1616
Mailing Address - Country:US
Mailing Address - Phone:304-527-7135
Mailing Address - Fax:
Practice Address - Street 1:208 ELAINE AVE
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037-1616
Practice Address - Country:US
Practice Address - Phone:304-527-7135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVG229030870003747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant